Guest Check Form
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
National Insurance Number, if applicable:
*
Marital Status:
*
Permanent address / Residence Address:
*
Your previous addresses (please list minimum one place and contact details to your previous landlords/agents). If you don't provide contact details, this check will result in failure and we won't be able to give you permission to access our premises:
*
Previous landlord phone and name:
*
Why did you leave your previous address:
*
Rent paid at previous address:
*
Employment details - including phone number and name of contact person. If you dont provide these details, your tenant check will result in failure.
*
Time employed:
*
Basic Income:
*
Do you have any loans / mortgages? If yes, please provide details below:
*
Have you claimed any housing benefit at any address during the last three year? If yes, please provide details:
*
Have you ever been in arrears of payment? YES / NO:
*
YES
NO
Have you ever been evicted? YES / NO:
*
YES
NO
Have you got a criminal conviction? YES / NO:
*
YES
NO
Are you on bail? YES / NO:
*
YES
NO
Are you taking any medication? If yes, please supply information below:
*
Your bank account detail for deposit refund:
*
By my signature I declare that: 1. All the information given about me above &/or overleaf is true and complete; and 2. I believe that all the information given above &/or overleaf about other people is true about them.I understand and accept that you will rely on all this information in deciding whether or not to enter a rental contract with me. I authorize you &/or your agent(s) to verify the above information. Type your name and surname below:
*
To my Employer: I hereby authorise you to respond to any enquiry received from JBL Property Group and its divisions and to provide to them confirmation of my salary/income and any other particulars of information they request in connection to this application. I confirm that I will be responsible for any charges raised by you in connection to the provision of this reference. Type your name and surname below:
*
To my previous Landlord/ agent: I hereby authorise you to respond to any enquiry received from JBL Property Group and its divisions and to provide to them details of how I have conducted my tenancy, including my payment history and condition of the property. Type your name and surname below:
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: